Keokuk Saddle Club

Printable Membership Appilcation

KEOKUK SADDLE CLUB MEMBERSHIP APPLICATION


DATE_______________ Phone number ___________________


Address_____________________________________________

____________________________________________________

Family members (Give Childrens ages)________________

____________________________________________________

____________________________________________________

Place of Employment (Husband)_______________________

____________________________________________________

Place of Employment (Wife)__________________________

____________________________________________________

Number of stalls needed_____________________________

Referred by (Name Address and Phone)

1. _________________________________________________

2. _________________________________________________

Reason For Applying For Membership

____________________________________________________

Activities and/or jobs you would be willing to work on.

Horse Shows_____ Grounds Maintenance_______

Cook Shack______ Grounds Clean-up__________

Other___________ Show Committee____________

SIGNATURE___________________________________________

ACCEPTED________________________

DENIED__________________________

____________________________________________________